LATERAL RECRUITMENTS

APPLICATION FORM

Candidate's
Picture

Name: ..............................................................

Candidate to fill up the form in his/her own handwriting

1. PERSONAL DETAILS

Name Role applied for

Pan No Date of Birth

Email id Contact number

Direct Contact, Mention details : _____________________________________________________________

Sourcing
Channel Employee Referral, Name of employee : _____________________________________________________________

Recruitment agency, Name of agency : _____________________________________________________________

Birth Place Marital Status

Nationality Gender

Current Permanent
Address Address

2. ACADEMIC BACKGROUND
Course Board/University Institute Name Yr of Joining Yr of Passing Main Subjects % marks / CGPA

Class X

Class XII

Graduation

Post Grad

Any Other

Key
Certifications,
trainings
Any Honors,
Scholarships,
Papers or
Publications
Languages- Language Speak Read Write
speak, read,
write (kindly
tick off the 1
box)
2

3. FAMILY BACKGROUND
Details of family members

Relationship Name Age Occupation, location (If working please specify

the name of the organization/ Nature of Business)

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4. PRESENT EMPLOYMENT
Please share details of your current employment. In case you are not working presently,
mention your last employment.

Organization Joining Now

Name, Address

Date of Joining Designation

Employee Compensation
Strength

Revenues Location

Present Roles &

Responsibilities
Please draw
the organization
Chart indicating
your level, your
Reporting & one
level below you
Reasons for
Change

5. EMPLOYMENT HISTORY
Your previous work history, start with your first employment and go further

Organization Designation Location Reporting No. of From To Last drawn CTC Reasons for
Name & & role to (Please reportees (MM/YY (MM/YY per annum Leaving
Location mention (if any)
Manager’s
name &
Designation)

6. What aspects of your current role you like the most?

7. What are those 2 trigger points for which you are exploring opportunities
outside of your current organization?

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8. What are your long and short term career goals?

9. What has been your most significant achievement in your career till date?

10. Why would you consider yourself suitable for the position applied for?

11. What are your interests and hobbies?

12. What are your Strengths and Areas of Improvement?

SN Areas of strength How you would you plan to leverage the same?

How you would plan to convert the same into your

SN Areas of improvement
areas of strength?

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13. What are your areas of interest outside of work?

14. FURTHER DETAILS

1 Have you been interviewed by us before? Yes No

In case the answer to the above question is “yes”, please specify the details
– Role, Date of last interview, Business Unit and Location

Have you been associated (in any capacity) with VECV or any of its
2 Yes No
Group Companies?

In case the answer to the above question is “yes”, please specify the details
– Role, Duration, Reporting Manager, Designation

3 Have you ever been involved in court proceedings? Yes No

In case the answer to the above question is “yes”, please specify the details

4 Do you have any relatives who are working or have worked previously
Yes No
with us?
Name :
Relationship :
In case the answer to the above question is “yes”, please specify the details Designation :
Business Unit :

5 Are you willing to work in any part of the country/overseas? Yes No

In case of location constraints, please specify the reasons

6 Notice Period in the current orgnisation

7 Joining time required, if your candidature moves forward

Fixed –
8 Current Compensation Variable (if any) –
Benefits (if any) –

9 Expected Compensation

15. PROFESSIONAL REFERENCES

Please provide details on 3 references whom we may reach out to for feedback as part of our
talent acquisition process.
Nature of
Name Designation & Organization Tenure of Association Email & Contact no.
Association

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SELF-HEALTH DECLARATION FORM FOR EMPLOYMENT
Name Date of birth

Gender Blood Group

Height Rh Factor

Weight Smoking Yes No

Eyesight Alcoholic Yes No

HEALTH & WELLBEING DETAILS

1 Do you have Diabetes? Yes No

2 Do you have High Blood pressure? Yes No

3 Do you have any disorder of ear/ nose/ throat? Yes No

Do you have any ailment related to brain/nervous

4 Yes No
system/stroke/paralysis/epilepsy?

5 Do you have Anemia or any blood related chronic disorder? Yes No

Do you have Musculoskeletal disorder like chronic arthritis/ chronic back

6 Yes No
pain/ slip disc etc. Any disease like hepatitis B or C ?

7 Do you have any chest pain/ palpitation or any heart related disorder? Yes No

Do you have any ailment related to brain/nervous

8 Yes No
system/stroke/paralysis/epilepsy?

9 Do you have any chronic disease related to kidney or urinary system? Yes No

Do you have any chronic disease of gastrointestinal tract like duodenal

10 Yes No
ulcer, fistula/piles?

11 Do you have any allergy to a particular substance or environment? Yes No

If the answer to any of the above question is yes, please share details below. Do add details of any
disease not mentioned above.

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OTHER DETAILS

1 Do you have any disability? Yes No

Partial -
In case the answer to the above question is “yes”, please specify the details
Compete -

2 Do you have any congenital defect? Yes No

3 Have you ever been treated for any cancer/tumor/cyst or other growth? Yes No

4 Have you undergone any surgery in past? Yes No

If the answer to any of the above question is yes, please share details below:

Name of condition

Details of treatments till date

Any other information related to above

DECLARATION- REPRESENTATION OF FACTS

I, ____________________________________________________ (Candidate Name) hereby declare that the details furnished
above are true and correct to the best of my knowledge and belief and I undertake to inform you of any changes therein,
immediately. I have filled up this form by myself in my own handwriting. In case any of the above information is found to
be false or untrue or misleading or misrepresenting, I am aware that I may be held liable and that my appointment may
be cancelled / withdrawn and my services terminated at any time.

Signature Date

Name City

EQUAL OPPORTUNITY EMPLOYER

VECV provides equal employment opportunities to all employees and applicants for employment and prohibits
discrimination and harassment of any type regardless to race, color, religion, age, sex, national origin, disability
status, genetics, armed forces status, sexual orientation, gender identity or expression, or any other characteristic
protected by law.

This applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination,
layoff, transfer, leaves of absence, compensation and training.

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